MEDICARE: DOQTEC MEDICAL GROUP, PMC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1376496810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOQTEC MEDICAL GROUP, PMC

Provider Business Mailing Address
First Line	:	320 N CENTRAL AVE UNIT 524
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-2971
Country	:	US
Telephone Number	:	818-307-3675
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 N CENTRAL AVE UNIT 524
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-2971
Country	:	US
Telephone Number	:	818-307-3675
Fax Number	:

Authorized Official
Title or Position	:	COUNSEL
Name	:	DAVIT ZARGARYAN
Credential	:
Telephone Number	:	818-307-3675

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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